The US is also extremely segregated, and a substantial percentage of black Americans live in those confederate states that have not expanded Medicaid yet. Texas has a higher maternal mortality rate than Iran.

Geography is a greater determinant of health than race. People die a full 7 years earlier on average in Mississippi than California or Massachusetts, and 6 years earlier in West Virginia.

There's a clear correlation with income here, but one can easily argue that both income and life expectancy are downstream of policy. Red state policies are simply bad for your health and your wallet.